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HLA-B27 test

Also called: HLA-B27 antigen

HLA-B27 is a gene marker linked with ankylosing spondylitis and related arthritis.

SampleA small tube of blood from a vein in your arm
Fasting?Usually not needed
ResultsSeveral days
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

Many healthy people have HLA-B27, so a positive test alone doesn't mean disease.

Why it's done

  • Long-lasting low back pain and stiffness, especially in younger adults
  • Eye inflammation (uveitis) or reactive arthritis

Getting ready and what happens

  • No preparation is needed.

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.

What the results mean

Positive

With matching symptoms and imaging, supports ankylosing spondylitis.

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

Related conditions

Related medicines

Related tests

Sources

Last updated 2026-11-13.